NPI | 1255851150 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: MA 1020991) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT213701) |
Enumeration Date | 2017-06-21 |
Last Update Date | 2024-10-12 |