NPI | 1619168317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 200431) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 200431) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2013-02-18 |