NPI | 1174657258 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX K2635) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX K2635) |
Enumeration Date | 2007-03-14 |
Last Update Date | 2012-05-30 |