NPI | 1184601148 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036088532) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036088532) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2011-01-20 |