NPI | 1760757827 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C198436) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 54240) |
Enumeration Date | 2012-03-21 |
Last Update Date | 2025-01-09 |