NPI | 1811493067 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: NY 309790) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 309790) |
Enumeration Date | 2018-04-04 |
Last Update Date | 2024-05-20 |