NPI | 1124224472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME99016) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME 99016) |
Enumeration Date | 2007-06-25 |
Last Update Date | 2019-09-16 |