NPI | 1417349580 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 34737) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 34737) |
208000000X Pediatrics (Licence: AL 34737) | |
Enumeration Date | 2015-02-26 |
Last Update Date | 2020-07-21 |