NPI | 1982785713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A62163) |
Additional Taxonomies | 174400000X Specialist (Licence: CA A062163) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2012-11-19 |