NPI | 1467468835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 178983) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 178983) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2011-07-19 |