NPI | 1710053327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 31681) |
Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: TN 31681) |
208000000X Pediatrics (Licence: TN 31681) | |
Enumeration Date | 2006-11-27 |
Last Update Date | 2010-01-26 |