NPI | 1851826820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MT MED-PHYS-LIC-118987) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AK 161187) |
Enumeration Date | 2017-04-26 |
Last Update Date | 2025-04-10 |