NPI | 1366419533 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: PA OS010120L) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS010120L) |
Enumeration Date | 2006-03-07 |
Last Update Date | 2017-07-10 |