NPI | 1649530510 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 04-37946) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN17303) |
Enumeration Date | 2012-05-24 |
Last Update Date | 2015-11-10 |