NPI | 1215373949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 283308) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT015331) |
Enumeration Date | 2013-05-21 |
Last Update Date | 2017-03-07 |