NPI | 1295902567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 238421) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 229429) |
Enumeration Date | 2008-05-14 |
Last Update Date | 2020-11-10 |