NPI | 1710111372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: KY R2208) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R2208) |
207R00000X Internal Medicine (Licence: MS MS25393) | |
208000000X Pediatrics (Licence: MS MS29353) | |
Enumeration Date | 2009-05-12 |
Last Update Date | 2023-02-10 |