NPI | 1487802674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A105303) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A105303) |
Enumeration Date | 2008-09-03 |
Last Update Date | 2008-09-03 |