NPI | 1366409716 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL 140789) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME69041) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 189922) | |
Enumeration Date | 2006-04-28 |
Last Update Date | 2024-06-24 |