NPI | 1235422445 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MD D0077963) |
Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD13638) |
Enumeration Date | 2011-05-20 |
Last Update Date | 2014-07-28 |