NPI | 1063828267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: FL ME143122) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301113019) |
Enumeration Date | 2014-07-08 |
Last Update Date | 2022-12-23 |