NPI | 1679811384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A158413) |
Additional Taxonomies | 282N00000X General Acute Care Hospital |
Enumeration Date | 2013-01-30 |
Last Update Date | 2019-01-16 |