| NPI | 1053673863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA 137212) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV 16220) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2022-07-21 |