NPI | 1316162001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0048906) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO 48906) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2018-12-04 |