NPI | 1659691368 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ R72113) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R72113) |
Enumeration Date | 2010-06-03 |
Last Update Date | 2022-07-21 |