NPI | 1528565975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: UT 1142026-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: UT 11420226-1205) |
Enumeration Date | 2018-04-11 |
Last Update Date | 2022-06-01 |