NPI | 1821583956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 344672) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL 6315) |
Enumeration Date | 2018-07-01 |
Last Update Date | 2025-05-21 |