NPI | 1043605819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD474844) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301115728) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2021-09-14 |