NPI | 1972693612 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: DE C10005054) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DE C10005054) |
208M00000X Hospitalist (Licence: DE C10005054) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2011-09-12 |