NPI | 1598144008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX T1781) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT208902) |
208000000X Pediatrics (Licence: NY 292687) | |
Enumeration Date | 2015-05-29 |
Last Update Date | 2024-05-02 |