NPI | 1457499592 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: SD 8697) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 41081) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WA MD 6047537) | |
Enumeration Date | 2007-02-01 |
Last Update Date | 2021-04-28 |