NPI | 1396715975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: SC 12576) |
Additional Taxonomies | 208000000X Pediatrics (Licence: SC 12576) |
Enumeration Date | 2006-01-25 |
Last Update Date | 2018-03-16 |