NPI | 1972986651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125067159) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125067159) |
Enumeration Date | 2015-06-30 |
Last Update Date | 2015-06-30 |