| NPI | 1376507608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 105796) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CO 36444) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CO CO36444) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: HI MD11545) | |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2011-10-27 |