NPI | 1285851022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: PA MD4352023) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD435023) |
Enumeration Date | 2007-04-20 |
Last Update Date | 2019-04-03 |