NPI | 1639123029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX Q8491) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 11288) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2023-08-07 |