| NPI | 1003159336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 270303) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 63611) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 63611) | |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2021-06-29 |