NPI | 1962922096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0089519) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2017019520) |
207R00000X Internal Medicine (Licence: GA 96050) | |
Enumeration Date | 2017-06-20 |
Last Update Date | 2023-07-25 |