NPI | 1053356048 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NJ MA058373) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME138502) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35.133876) | |
Enumeration Date | 2006-06-17 |
Last Update Date | 2023-10-16 |