NPI | 1366453888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: LA ME75420) |
Additional Taxonomies | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: LA MD.13592R) |
Enumeration Date | 2006-08-10 |
Last Update Date | 2011-11-01 |