NPI | 1164522355 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC 28065) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC 28065) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2021-06-24 |