NPI | 1316430036 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 72853) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 72853) |
Enumeration Date | 2018-06-07 |
Last Update Date | 2024-07-31 |