NPI | 1417523531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT222540) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD485178) |
Enumeration Date | 2021-05-30 |
Last Update Date | 2024-06-18 |