NPI | 1962434050 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 42791) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 42791) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2020-09-08 |