NPI | 1811556152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125074792) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101281022) |
Enumeration Date | 2019-06-11 |
Last Update Date | 2024-09-08 |