NPI | 1134334600 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: GU M-1938) |
Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: CA A101076) |
208000000X Pediatrics (Licence: CA A101076) | |
208000000X Pediatrics (Licence: GU M-1938) | |
Enumeration Date | 2007-05-10 |
Last Update Date | 2022-02-11 |