NPI | 1750611919 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101248874) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D71805) |
207R00000X Internal Medicine (Licence: DC MD040063) | |
Enumeration Date | 2010-01-10 |
Last Update Date | 2021-06-07 |