NPI | 1295095149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: TN MD51209) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL ME109771) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME109771) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TN MD51209) | |
Enumeration Date | 2012-05-25 |
Last Update Date | 2022-03-21 |