| NPI | 1487753380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 1033) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX 40586) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-10-12 |