NPI | 1881037554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0065930) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 3000) |
208000000X Pediatrics (Licence: TN DO0000003000) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-04-12 |
Last Update Date | 2021-06-14 |