NPI | 1497978514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MO 2001014648) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2001014648) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2011-06-29 |