NPI | 1205221090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 285929-1) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 2859291) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2023-06-29 |