NPI | 1376748459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: OR MD154709) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT190142) |
208000000X Pediatrics (Licence: PA MD439676) | |
208000000X Pediatrics (Licence: OR MD154709) | |
Enumeration Date | 2007-06-18 |
Last Update Date | 2024-05-09 |