NPI | 1609813336 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 010158526) |
Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: NY 192024) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2023-12-11 |