NPI | 1326425000 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2024025942) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61324744) |
Enumeration Date | 2015-05-01 |
Last Update Date | 2024-07-02 |