NPI | 1720375389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 23788) |
Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: MS T-2474) |
208000000X Pediatrics (Licence: MS 23788) | |
Enumeration Date | 2011-07-05 |
Last Update Date | 2016-10-18 |