NPI | 1639118722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: MA 159779) |
Additional Taxonomies | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: MA 159779) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2011-03-11 |