| NPI | 1215961511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA a79156) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A79156) |
| 2080H0002X (Licence: CA A79156) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-05-29 |