NPI | 1104355643 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A173100) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 173100) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2024-11-01 |