NPI | 1215220934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60587379) |
Additional Taxonomies | 2080A0000X Pediatrics Adolescent Medicine (Licence: GA 72498) |
2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: WA MD60587379) | |
Enumeration Date | 2011-05-27 |
Last Update Date | 2021-03-31 |