NPI | 1124203526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: MA 243724) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 232263) |
Enumeration Date | 2008-01-03 |
Last Update Date | 2015-12-15 |