| NPI | 1124339239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: TX Q0011) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT 197574) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2023-07-17 |