| NPI | 1154769644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 54314) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-43378) |
| 208000000X Pediatrics (Licence: IA R-9779) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2022-07-21 |