NPI | 1679885248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101260240) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX S9744) |
Enumeration Date | 2010-07-11 |
Last Update Date | 2021-06-25 |