NPI | 1316096670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME100069) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME100069) |
208000000X Pediatrics (Licence: FL TRN7742) | |
Enumeration Date | 2007-01-09 |
Last Update Date | 2025-04-23 |