NPI | 1699127100 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036148307) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125068308) |
Enumeration Date | 2016-07-07 |
Last Update Date | 2019-06-22 |