NPI | 1780614495 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2001009493) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MO 2001009493) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2013-03-11 |