NPI | 1831172469 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD042518L) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD042518L) |
Enumeration Date | 2005-11-29 |
Last Update Date | 2013-12-11 |