NPI | 1073926929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036.145844) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.145844) |
208000000X Pediatrics (Licence: MA l-259415) | |
Enumeration Date | 2014-06-09 |
Last Update Date | 2018-07-27 |