NPI | 1154715639 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NM A-2496-21) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 69387) |
Enumeration Date | 2015-03-24 |
Last Update Date | 2021-12-24 |