NPI | 1083108971 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.071997) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.071997) |
Enumeration Date | 2018-06-14 |
Last Update Date | 2018-06-14 |