NPI | 1891105714 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: TX U7367) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: OH 128325) |
208000000X Pediatrics (Licence: OH 128325) | |
208000000X Pediatrics (Licence: TX U7367) | |
Enumeration Date | 2014-04-30 |
Last Update Date | 2023-12-03 |