NPI | 1760132161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 13534832-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 13534832-1205) |
Enumeration Date | 2022-03-28 |
Last Update Date | 2023-08-18 |