NPI | 1679669675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 28139) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 154404) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2019-01-17 |