NPI | 1790414480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: SC LL87753) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL87753) |
Enumeration Date | 2022-06-08 |
Last Update Date | 2022-06-08 |