| NPI | 1013320977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 269675) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-259423) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2021-04-28 |