NPI | 1689699712 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: VA 0101243116) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101243116) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2016-07-19 |