NPI | 1801134309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 80891) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD466362) |
207R00000X Internal Medicine (Licence: MI 4301113590) | |
Enumeration Date | 2013-01-18 |
Last Update Date | 2025-10-01 |