NPI | 1811218233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301096541) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301096541) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2010-06-21 |