NPI | 1750947115 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: GA 104540) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CT 72106) |
Enumeration Date | 2019-05-11 |
Last Update Date | 2025-07-23 |