NPI | 1417919929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CO 47184) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G62810) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA G62810) | |
Enumeration Date | 2006-04-03 |
Last Update Date | 2009-02-06 |