NPI | 1710917539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD32629) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0056936) |
207R00000X Internal Medicine (Licence: CA C55522) | |
Enumeration Date | 2006-07-04 |
Last Update Date | 2015-07-25 |