NPI | 1013904895 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 37741) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 37741) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2011-08-15 |