NPI | 1881018521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 89999) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0102204215) |
Enumeration Date | 2014-02-18 |
Last Update Date | 2023-06-30 |