NPI | 1366402471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: NM 98-255) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM 98-255) |
207P00000X Emergency Medicine (Licence: TX L2245) | |
2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: TX L2245) | |
Enumeration Date | 2006-03-23 |
Last Update Date | 2023-08-23 |