| NPI | 1285999185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX R7563) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 63560-20) |
| Enumeration Date | 2012-07-07 |
| Last Update Date | 2018-11-19 |