NPI | 1679763544 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60250989) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD432327) |
Enumeration Date | 2007-07-27 |
Last Update Date | 2012-08-09 |