NPI | 1801209424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO DR0058846) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101021234) |
Enumeration Date | 2014-06-11 |
Last Update Date | 2021-01-12 |