NPI | 1649229931 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA TO61127519) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 4222) |
207R00000X Internal Medicine (Licence: NV 1271) | |
Enumeration Date | 2006-05-06 |
Last Update Date | 2021-03-02 |