NPI | 1386211795 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301514588) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4351048149) |
208000000X Pediatrics (Licence: MI 4351048149) | |
Enumeration Date | 2021-06-06 |
Last Update Date | 2025-08-14 |