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 |