NPI | 1942569876 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME128846) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2015011040) |
Enumeration Date | 2012-05-12 |
Last Update Date | 2022-02-14 |