NPI | 1609806744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C54228) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD421877) |
208000000X Pediatrics (Licence: CA C54228) | |
208000000X Pediatrics (Licence: PA MD421877) | |
Enumeration Date | 2006-07-04 |
Last Update Date | 2024-05-08 |