NPI | 1306204813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 53821) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 53821) |
Enumeration Date | 2016-01-29 |
Last Update Date | 2020-07-28 |