NPI | 1922599299 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: RI MD18460) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP04246) |
208000000X Pediatrics (Licence: RI LP04246) | |
Enumeration Date | 2018-05-23 |
Last Update Date | 2022-06-03 |