NPI | 1760428007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 7563) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 042-0010338) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2011-07-18 |