NPI | 1558704494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34012796) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34012796) |
Enumeration Date | 2013-04-10 |
Last Update Date | 2017-06-22 |