NPI | 1669122545 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MO 2022021132) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: KS 94-11039) |
208000000X Pediatrics (Licence: KS 9411039) | |
208000000X Pediatrics (Licence: MO 2022021132) | |
Enumeration Date | 2022-03-24 |
Last Update Date | 2025-07-07 |