NPI | 1063593853 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: UT 5137599-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 5137599-1205) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2021-12-14 |