| NPI | 1154425593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX N4032) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N4032) |
| 208000000X Pediatrics (Licence: VA 0101235593) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2012-04-11 |