NPI | 1972900355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D92801) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD044250) |
Enumeration Date | 2014-12-01 |
Last Update Date | 2024-06-25 |