NPI | 1417976622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301074261) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301074261) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2019-05-15 |