| NPI | 1396996872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 68298) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 18087) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2017-11-29 |