| NPI | 1437354818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA MD60274569) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 046777) |
| 208000000X Pediatrics (Licence: KS 04-34024) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2012-06-08 |