NPI | 1265643852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX M8238) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OK 3916) |
207R00000X Internal Medicine (Licence: OK 3916) | |
Enumeration Date | 2007-05-24 |
Last Update Date | 2022-06-27 |