NPI | 1144562562 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D83187) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 283223) |
2080S0010X Pediatrics, Sports Medicine (Licence: MA 283223) | |
Enumeration Date | 2013-03-24 |
Last Update Date | 2022-06-23 |