NPI | 1982696506 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 210686) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 210686) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2020-08-12 |