NPI | 1700165305 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2019-01659) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2018-0786) |
Enumeration Date | 2011-08-12 |
Last Update Date | 2024-03-06 |