NPI | 1376906628 |
---|---|
Former Name | CATHYA SHADROUI OLIVAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: PA MD474968) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD474968) |
208000000X Pediatrics (Licence: PA MD474968) | |
Enumeration Date | 2016-04-04 |
Last Update Date | 2023-01-17 |