NPI | 1356316616 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 38264) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 38264) |
Enumeration Date | 2006-02-21 |
Last Update Date | 2021-05-26 |