NPI | 1740669662 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 273084) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 273084) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2019-05-03 |