NPI | 1265640882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: UT 9433313-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP722) |
208000000X Pediatrics (Licence: KY TP722) | |
Enumeration Date | 2007-05-18 |
Last Update Date | 2024-11-21 |