NPI | 1053349159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN 61745) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 61745) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN 61745) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.084127) | |
Enumeration Date | 2006-06-28 |
Last Update Date | 2024-01-16 |