NPI | 1427336528 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MS 24942) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301099382) |
Enumeration Date | 2011-07-25 |
Last Update Date | 2017-08-28 |