NPI | 1063477164 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 39199) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 39199) |
Enumeration Date | 2006-04-20 |
Last Update Date | 2017-10-04 |