NPI | 1144434424 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine Sports Medicine (Licence: KY 39532) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 39532) |
208000000X Pediatrics (Licence: KY 39532) | |
Enumeration Date | 2007-05-09 |
Last Update Date | 2020-10-27 |