NPI | 1891054623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0057591) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A136102) |
Enumeration Date | 2012-05-14 |
Last Update Date | 2018-04-18 |