NPI | 1902107915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist (Licence: OH 57.017415) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.120514) |
Enumeration Date | 2010-11-07 |
Last Update Date | 2013-05-10 |