NPI | 1629367859 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA 123682) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 123682) |
Enumeration Date | 2011-03-28 |
Last Update Date | 2019-08-30 |