NPI | 1639600661 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME160834) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 53394) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: KY 53394) | |
Enumeration Date | 2017-03-22 |
Last Update Date | 2024-08-20 |