NPI | 1821842196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4351052501) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO TL.0011068) |
Enumeration Date | 2024-04-15 |
Last Update Date | 2025-06-30 |