NPI | 1114913365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TN 40530) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 40530) |
208000000X Pediatrics (Licence: LA MD025360) | |
Enumeration Date | 2005-09-23 |
Last Update Date | 2017-02-10 |