NPI | 1740718535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 341128) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV SL1213) |
Enumeration Date | 2017-05-24 |
Last Update Date | 2025-07-29 |