NPI | 1275094260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0068777) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60953331) |
Enumeration Date | 2019-03-31 |
Last Update Date | 2024-06-11 |