NPI | 1902861511 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 217196) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 217196) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2016-10-12 |