NPI | 1790897460 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MN 37163) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 37163) |
208000000X Pediatrics (Licence: MN 37163) | |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MN 37163) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2022-07-27 |