NPI | 1699846055 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: DC MD035560) |
Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD419126) |
207P00000X Emergency Medicine (Licence: NY 301787) | |
Enumeration Date | 2006-11-09 |
Last Update Date | 2024-08-09 |