NPI | 1750542288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 069598) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA 439765) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2022-04-12 |