NPI | 1104030659 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036.133125) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 52942-20) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2022-06-13 |