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 |