NPI | 1699138537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0086459) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101265898) |
207R00000X Internal Medicine (Licence: DC MD046809) | |
Enumeration Date | 2016-03-29 |
Last Update Date | 2021-07-06 |