| NPI | 1063615516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL me112280) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL me112280) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2016-11-08 |