NPI | 1073600144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 183722) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 183722) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 183722) | |
Enumeration Date | 2006-10-09 |
Last Update Date | 2007-07-08 |