NPI | 1811223233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2012022391) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT194707) |
Enumeration Date | 2009-10-19 |
Last Update Date | 2012-11-20 |