NPI | 1639596513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 1016107) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 04085) |
208000000X Pediatrics (Licence: MA 1016107) | |
208000000X Pediatrics (Licence: OH 58.005635) | |
Enumeration Date | 2014-03-28 |
Last Update Date | 2024-12-03 |