NPI | 1770890774 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: MN 32462) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MN 32462) |
Enumeration Date | 2010-09-12 |
Last Update Date | 2010-09-12 |