NPI | 1831327972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A11842) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101018348) |
Enumeration Date | 2009-06-28 |
Last Update Date | 2014-09-15 |