NPI | 1669468807 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 32951) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 32951) |
Enumeration Date | 2005-09-22 |
Last Update Date | 2017-08-14 |