NPI | 1720508195 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR E-13428) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.069777) |
Enumeration Date | 2017-06-26 |
Last Update Date | 2020-08-04 |