NPI | 1023036746 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MO 2004009985) |
Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MO 2004009985) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2004009985) | |
Enumeration Date | 2006-07-18 |
Last Update Date | 2019-05-15 |