NPI | 1144240029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MN 48558) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MN 48558) |
208000000X Pediatrics (Licence: MN 48558) | |
Enumeration Date | 2006-07-20 |
Last Update Date | 2020-10-06 |