NPI | 1700370863 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: MO 2020042128) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2020042128) |
Enumeration Date | 2018-06-21 |
Last Update Date | 2022-04-04 |