NPI | 1669449096 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301036984) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301036984) |
208000000X Pediatrics (Licence: MI 4301036984) | |
Enumeration Date | 2006-03-03 |
Last Update Date | 2025-06-23 |