NPI | 1013998327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 40788) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 40788) |
208000000X Pediatrics (Licence: TN 34515) | |
Enumeration Date | 2005-11-14 |
Last Update Date | 2018-09-14 |