NPI | 1568632685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: LA MD.201992) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 201992) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2019-10-03 |