| NPI | 1386765139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: NY 239030) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 239030) |
| 208000000X Pediatrics (Licence: OH 35096480) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 239030) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35096480) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2018-06-27 |