NPI | 1568457273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0072595) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35078939K) |
Enumeration Date | 2005-09-19 |
Last Update Date | 2024-10-16 |