NPI | 1982903225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: WI 67057) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5101019263) |
2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: MI 5101019263) | |
Enumeration Date | 2011-03-25 |
Last Update Date | 2022-07-21 |