NPI | 1356665244 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: KY 45901) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 45901) |
Enumeration Date | 2010-03-21 |
Last Update Date | 2020-10-19 |