NPI | 1780080416 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD461378) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.064405) |
Enumeration Date | 2014-11-06 |
Last Update Date | 2018-03-17 |