NPI | 1700096385 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S9706) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 066356) |
207R00000X Internal Medicine (Licence: WA MD61472474) | |
207R00000X Internal Medicine (Licence: CA A133270) | |
Enumeration Date | 2007-05-23 |
Last Update Date | 2023-08-11 |