NPI | 1578623021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 40062) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 40062) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2011-08-31 |