NPI | 1841764230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 20A23079) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102206242) |
Enumeration Date | 2019-01-18 |
Last Update Date | 2025-04-07 |