NPI | 1710273537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 73537) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 274808) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2016-01-25 |