NPI | 1164658084 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: TX P3128) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX P3128) |
2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: NM MD2015-0151) | |
Enumeration Date | 2009-06-05 |
Last Update Date | 2022-07-21 |