NPI | 1669435707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 081189) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-01372) |
207R00000X Internal Medicine (Licence: MO 2009028452) | |
207R00000X Internal Medicine (Licence: PA MD064633L) | |
Enumeration Date | 2006-04-10 |
Last Update Date | 2018-10-15 |