NPI | 1962447029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME59743) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME59743) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2016-08-18 |