| NPI | 1508132689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN MD57512) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60292221) |
| 208000000X Pediatrics (Licence: MD D0079937) | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2022-03-22 |