NPI | 1568500494 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: ID M-9749) |
Additional Taxonomies | 208000000X Pediatrics (Licence: ID M-9749) |
Enumeration Date | 2007-02-02 |
Last Update Date | 2010-03-15 |