NPI | 1659636595 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301101656) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301101656) |
Enumeration Date | 2012-07-06 |
Last Update Date | 2016-09-01 |