| NPI | 1245527043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 69153) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 6601) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2018-07-10 |