NPI | 1881608461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 40186) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 40186) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2021-12-09 |