NPI | 1982068433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ND PT15923) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT211151) |
Enumeration Date | 2016-04-11 |
Last Update Date | 2019-08-08 |