NPI | 1740695196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME158333) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 78436) |
207R00000X Internal Medicine (Licence: WA MD61004639) | |
Enumeration Date | 2014-06-24 |
Last Update Date | 2022-12-13 |