NPI | 1134548423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 312789) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301111604) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2021-10-07 |