NPI | 1891310090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA ML61159997) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.077081) |
Enumeration Date | 2020-06-12 |
Last Update Date | 2021-07-14 |