NPI | 1366707622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036140295) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036140295) |
Enumeration Date | 2012-07-11 |
Last Update Date | 2016-05-26 |