NPI | 1669790853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME120044) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME120044) |
Enumeration Date | 2010-05-12 |
Last Update Date | 2020-12-30 |