NPI | 1184121501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 011212) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021013817) |
Enumeration Date | 2018-04-11 |
Last Update Date | 2024-09-03 |