NPI | 1639580806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60790455) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 282252) |
Enumeration Date | 2014-05-09 |
Last Update Date | 2019-01-03 |