NPI | 1578967907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA A128532) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A128532) |
Enumeration Date | 2014-10-14 |
Last Update Date | 2018-06-14 |