| NPI | 1134476641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 57863) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 19023) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2019-06-21 |