NPI | 1316268535 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 254552) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 254552) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2016-05-20 |