NPI | 1104040567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301087904) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301087904) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2021-05-17 |