| NPI | 1316103997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA 20A12217) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A12117) |
| Enumeration Date | 2008-08-02 |
| Last Update Date | 2015-06-17 |