NPI | 1750693719 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL 139034) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2015019910) |
208000000X Pediatrics (Licence: PR 20600) | |
Enumeration Date | 2010-07-07 |
Last Update Date | 2019-07-19 |