NPI | 1174885792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: RI MD18125) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125061456) |
208000000X Pediatrics (Licence: MA 276856) | |
Enumeration Date | 2012-06-10 |
Last Update Date | 2024-06-26 |