NPI | 1336192509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 225172) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R8589) |
208000000X Pediatrics (Licence: NJ 25MA07535600) | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2024-07-20 |