| NPI | 1245681600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME146400) |
| Additional Taxonomies | 208600000X Surgery (Licence: MI 4301110728) |
| 208000000X Pediatrics (Licence: MI 5315077907) | |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2022-07-28 |