NPI | 1952753642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME163153) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 268219) |
207R00000X Internal Medicine (Licence: MS 26931) | |
Enumeration Date | 2016-07-06 |
Last Update Date | 2023-07-27 |