NPI | 1831586536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME141357) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A143996) |
Enumeration Date | 2015-04-20 |
Last Update Date | 2024-03-05 |