NPI | 1205832169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN MD37267) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD37267) |
Enumeration Date | 2005-06-24 |
Last Update Date | 2010-03-02 |