NPI | 1922359405 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MA 266480) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 266480) |
Enumeration Date | 2012-09-25 |
Last Update Date | 2017-03-15 |