| NPI | 1548687668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 307869) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 270834) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2021-08-19 |