NPI | 1730345505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 47791) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 43654) |
Enumeration Date | 2008-07-31 |
Last Update Date | 2023-05-17 |