NPI | 1588126585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX V5837) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AZ 66061) |
208000000X Pediatrics (Licence: AZ 66061) | |
Enumeration Date | 2019-04-01 |
Last Update Date | 2025-03-20 |