NPI | 1477907301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX S0954) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX S0954) |
Enumeration Date | 2016-04-18 |
Last Update Date | 2024-05-06 |