NPI | 1942568217 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 14162) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 26381) |
207R00000X Internal Medicine (Licence: CA G86143) | |
Enumeration Date | 2012-04-24 |
Last Update Date | 2012-04-24 |