NPI | 1518934074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 21664) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 21664) |
Enumeration Date | 2006-03-03 |
Last Update Date | 2018-03-17 |