NPI | 1053645812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P6913) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX P6913) |
Enumeration Date | 2009-09-28 |
Last Update Date | 2014-08-27 |