NPI | 1386787109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C150037) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 50096) |
208000000X Pediatrics (Licence: WI 50096) | |
Enumeration Date | 2007-02-14 |
Last Update Date | 2018-03-17 |