| NPI | 1225340565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 62716) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301096889) |
| 208000000X Pediatrics (Licence: MN 62716) | |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2018-03-17 |