NPI | 1508018110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60558747) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A105731) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WA MD60558747) | |
Enumeration Date | 2008-10-14 |
Last Update Date | 2015-09-23 |