NPI | 1912369208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: HI MD-22455) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A151235) |
207R00000X Internal Medicine (Licence: NM MD2020-0295) | |
Enumeration Date | 2016-03-24 |
Last Update Date | 2024-05-29 |