NPI | 1275761785 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C168058) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME118299) |
208000000X Pediatrics (Licence: FL ME118299) | |
208000000X Pediatrics (Licence: CA C168058) | |
Enumeration Date | 2009-06-24 |
Last Update Date | 2023-10-11 |