NPI | 1790736569 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 10093) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 110093) |
Enumeration Date | 2006-05-15 |
Last Update Date | 2013-10-03 |