NPI | 1043442148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 051028) |
Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: CT 051028) |
Enumeration Date | 2009-08-22 |
Last Update Date | 2015-10-05 |