| NPI | 1518120039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 01116020094) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX Q0414) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2020-11-19 |