NPI | 1679932115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 0070727) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 30523) |
208D00000X General Practice (Licence: NE 30523) | |
Enumeration Date | 2016-02-11 |
Last Update Date | 2024-09-09 |