NPI | 1912063124 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 027195) |
Additional Taxonomies | 208D00000X General Practice (Licence: GA 027195) |
Enumeration Date | 2006-12-29 |
Last Update Date | 2021-10-27 |