NPI | 1891954012 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 201707-1) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 201707-1) |
Enumeration Date | 2008-06-03 |
Last Update Date | 2009-06-04 |