NPI | 1245852029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01094217A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 84328) |
208000000X Pediatrics (Licence: SC 84328) | |
208000000X Pediatrics (Licence: IN 01094217A) | |
Enumeration Date | 2020-05-14 |
Last Update Date | 2024-10-21 |