NPI | 1518527803 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 328629-01) |
Additional Taxonomies | 208000000X Pediatrics (Licence: RI TMD00042) |
208000000X Pediatrics (Licence: RI LP04738) | |
Enumeration Date | 2019-06-18 |
Last Update Date | 2025-03-05 |