NPI | 1396036786 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 34.011307) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.011307) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2017-12-01 |