NPI | 1700013034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME131874) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 259069) |
Enumeration Date | 2009-06-13 |
Last Update Date | 2022-01-18 |