NPI | 1710140868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 03403) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0116020732) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2011-09-26 |