| NPI | 1093056798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA 60958493) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A124612) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2019-10-21 |