NPI | 1922413871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.064983) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.064983) |
Enumeration Date | 2014-06-29 |
Last Update Date | 2014-06-29 |