NPI | 1740613058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.128453) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT203690) |
Enumeration Date | 2013-08-11 |
Last Update Date | 2021-04-22 |