NPI | 1770570582 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AL MD.16084) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.16084) |
207P00000X Emergency Medicine (Licence: AL MD.16084) | |
Enumeration Date | 2005-10-06 |
Last Update Date | 2019-08-27 |