NPI | 1992292916 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: IL 036161581) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036161581) |
207R00000X Internal Medicine (Licence: IL 036.161581) | |
Enumeration Date | 2018-04-16 |
Last Update Date | 2024-05-16 |