NPI | 1639555386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 33232) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.133390) |
207R00000X Internal Medicine (Licence: NC 2020-00422) | |
Enumeration Date | 2015-08-05 |
Last Update Date | 2024-07-12 |