NPI | 1154424661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 201000727) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036107487) |
208000000X Pediatrics (Licence: NC 2010-00727) | |
Enumeration Date | 2006-09-07 |
Last Update Date | 2023-08-07 |