| NPI | 1306166137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN 51943) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP01984) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2019-02-05 |