NPI | 1740802875 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME167055) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN35761) |
Enumeration Date | 2020-05-12 |
Last Update Date | 2024-08-08 |