| NPI | 1255345153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: MS 21354) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: WI 47865) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: MN 53766) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2012-06-21 |