NPI | 1205843505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 11649) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NH 11649) |
207R00000X Internal Medicine (Licence: MO 2000146069) | |
208000000X Pediatrics (Licence: MO 2000146069) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2012-02-03 |