NPI | 1114450541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 327051) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 327051) |
Enumeration Date | 2017-04-03 |
Last Update Date | 2021-12-29 |