NPI | 1134411283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 59089) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 59089) |
Enumeration Date | 2011-05-09 |
Last Update Date | 2015-07-17 |