NPI | 1629556915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD475778) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT214942) |
Enumeration Date | 2018-07-30 |
Last Update Date | 2021-09-29 |