NPI | 1306080429 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT191369) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT191369) |
Enumeration Date | 2009-04-21 |
Last Update Date | 2009-04-21 |