NPI | 1104340215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MD D0088859) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL40885) |
Enumeration Date | 2017-07-31 |
Last Update Date | 2023-06-23 |