NPI | 1447412028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: PA MD441577) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD 441577) |
207RA0000X Internal Medicine, Adolescent Medicine (Licence: PA MT 192537) | |
Enumeration Date | 2008-06-25 |
Last Update Date | 2014-06-26 |