NPI | 1023543204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL OS19997) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB10870800) |
208000000X Pediatrics (Licence: PA OS021116) | |
208000000X Pediatrics (Licence: NJ 25MB10870800) | |
Enumeration Date | 2017-04-26 |
Last Update Date | 2025-03-05 |