NPI | 1649210493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C53526) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036093890) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2024-02-21 |