NPI | 1144563735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TX S8098) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 265871) |
Enumeration Date | 2013-04-01 |
Last Update Date | 2020-08-24 |