NPI | 1316400211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME164740) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME164740) |
Enumeration Date | 2019-04-09 |
Last Update Date | 2024-09-23 |