NPI | 1972727600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301085768) |
Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: MI 4301085768) |
208000000X Pediatrics (Licence: MI 4301085768) | |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-10-20 |