NPI | 1891010161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A129939) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 268611) |
Enumeration Date | 2010-03-30 |
Last Update Date | 2018-03-17 |