NPI | 1730593690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NV 20241) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10058969) |
208000000X Pediatrics (Licence: IL 125-065428) | |
Enumeration Date | 2014-06-18 |
Last Update Date | 2024-10-29 |