NPI | 1194136820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX T0196) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX T0196) |
208000000X Pediatrics (Licence: DC MD045994) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD480961) | |
Enumeration Date | 2014-05-15 |
Last Update Date | 2023-06-19 |