NPI | 1811147093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61087215) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.054959) |
207R00000X Internal Medicine (Licence: MA 247264) | |
207R00000X Internal Medicine (Licence: NH 17076) | |
Enumeration Date | 2008-09-24 |
Last Update Date | 2020-12-28 |