| NPI | 1043605793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: UT 13289381-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MDRE.ML.60564090) |
| 208000000X Pediatrics (Licence: CA A156507) | |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2023-03-07 |