NPI | 1114372836 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: WA MD61274189) |
Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: NY 297724) |
Enumeration Date | 2016-05-02 |
Last Update Date | 2025-03-18 |