NPI | 1215031729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: FL ME70818) |
Additional Taxonomies | 208000000X Pediatrics (Licence: LA 344627) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2024-12-18 |