NPI | 1912521584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.169906) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101278440) |
207R00000X Internal Medicine (Licence: PA mt220688) | |
Enumeration Date | 2020-05-30 |
Last Update Date | 2024-09-20 |