NPI | 1093217861 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: UT 13918039-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 74250) |
Enumeration Date | 2018-03-07 |
Last Update Date | 2024-04-25 |