NPI | 1952715518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125064931) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125064931) |
Enumeration Date | 2014-06-11 |
Last Update Date | 2018-06-18 |