NPI | 1811005457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME64921) |
Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: FL ME64921) |
207RA0201X Internal Medicine, Allergy & Immunology (Licence: FL ME64921) | |
Enumeration Date | 2006-08-25 |
Last Update Date | 2014-07-22 |