NPI | 1760758726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 255112) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A120230) |
Enumeration Date | 2012-03-23 |
Last Update Date | 2022-02-11 |