NPI | 1134443690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX S7723) |
Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD045906) |
Enumeration Date | 2010-03-25 |
Last Update Date | 2020-09-09 |