NPI | 1013412659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 287119) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 287119) |
Enumeration Date | 2018-03-27 |
Last Update Date | 2025-09-17 |