NPI | 1770964389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A172269) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI MD16308) |
207R00000X Internal Medicine (Licence: RI LP03523) | |
Enumeration Date | 2015-06-10 |
Last Update Date | 2024-05-07 |