NPI | 1003819152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 023673) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 023673) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2008-01-28 |