NPI | 1518494970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA A195811) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MS 29020) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX U4042) | |
Enumeration Date | 2017-05-16 |
Last Update Date | 2025-05-01 |