| NPI | 1114951878 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 227605)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 227605)  | 
| Enumeration Date | 2006-07-10 | 
| Last Update Date | 2015-08-26 |