NPI | 1790092369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA CA125128) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-139307) |
207R00000X Internal Medicine (Licence: MI 4301097265) | |
Enumeration Date | 2010-09-02 |
Last Update Date | 2022-05-03 |