NPI | 1750513644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CA 20A15967) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A15967) |
Enumeration Date | 2009-08-11 |
Last Update Date | 2019-02-19 |