NPI | 1992834246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2008-00983) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD431185) |
207R00000X Internal Medicine (Licence: PA MT184120) | |
Enumeration Date | 2007-03-05 |
Last Update Date | 2023-01-25 |