NPI | 1902950900 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD035236) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101237310) |
207R00000X Internal Medicine (Licence: MD D62324) | |
Enumeration Date | 2007-01-23 |
Last Update Date | 2021-06-30 |