| NPI | 1053352641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL 12169) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 00012169) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2011-01-11 |