NPI | 1225116593 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2006-00788) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2006-00788) |
208000000X Pediatrics (Licence: NC 2006-00788) | |
Enumeration Date | 2006-11-02 |
Last Update Date | 2021-08-10 |