NPI | 1316101181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036120485) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036120485) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2020-01-15 |