NPI | 1780096727 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD h0081821) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS 12730) |
Enumeration Date | 2014-05-26 |
Last Update Date | 2017-04-21 |