NPI | 1164405866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D76390) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101235704) |
207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NV 14881) | |
Enumeration Date | 2005-11-28 |
Last Update Date | 2013-10-21 |