NPI | 1639676638 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: GA 91720) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL 39077) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 91720) | |
Enumeration Date | 2018-04-07 |
Last Update Date | 2025-06-06 |