NPI | 1780105072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NM MD2024-0294) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT213786) |
Enumeration Date | 2017-06-28 |
Last Update Date | 2024-10-09 |