| NPI | 1558564567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: SD 8337) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-7785) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2013-05-15 |