NPI | 1699238865 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA A179162) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A179162) |
Enumeration Date | 2019-04-12 |
Last Update Date | 2025-08-26 |