NPI | 1760592034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MD448432) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20008363) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 242974) | |
208000000X Pediatrics (Licence: WA MD60015242) | |
Enumeration Date | 2006-08-30 |
Last Update Date | 2015-04-03 |