NPI | 1508885070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 189984) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 189984) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2023-07-03 |