| NPI | 1164652269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX Q6150) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT195664) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2018-10-11 |