NPI | 1538429808 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME145801) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2015-00841) |
Enumeration Date | 2012-05-21 |
Last Update Date | 2021-11-22 |