NPI | 1922635499 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01093084A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 323905) |
Enumeration Date | 2020-03-25 |
Last Update Date | 2024-06-05 |