NPI | 1306836093 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2018-01071) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2018-01071) |
207R00000X Internal Medicine (Licence: MA 207692) | |
208000000X Pediatrics (Licence: MA 207692) | |
Enumeration Date | 2005-10-25 |
Last Update Date | 2021-05-11 |