NPI | 1669033163 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME157241) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2019022847) |
Enumeration Date | 2019-06-25 |
Last Update Date | 2022-12-02 |