NPI | 1336395490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125-049830) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125-049830) |
Enumeration Date | 2008-08-08 |
Last Update Date | 2021-04-30 |