NPI | 1831156207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics Pediatric Emergency Medicine (Licence: MA 209876) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 209876) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2016-10-14 |