NPI | 1316575087 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 71221) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 71221) |
Enumeration Date | 2020-03-30 |
Last Update Date | 2025-06-12 |