NPI | 1174919609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: CA A145994) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A145994) |
Enumeration Date | 2015-04-10 |
Last Update Date | 2022-02-28 |