| NPI | 1427395763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301095900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301095900) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |