NPI | 1639443104 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD452181) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A119576) |
Enumeration Date | 2012-03-01 |
Last Update Date | 2016-07-12 |