NPI | 1124605597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036170683) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.170683) |
Enumeration Date | 2021-03-24 |
Last Update Date | 2024-07-09 |