NPI | 1174059059 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0071575) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2020020104) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2023-10-09 |