NPI | 1104990191 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 54104) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 54104) |
208000000X Pediatrics (Licence: NH RT 1594) | |
Enumeration Date | 2006-11-20 |
Last Update Date | 2018-05-31 |