NPI | 1740396092 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0043436) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0043436) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2017-04-26 |