| NPI | 1578556510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CO 49393) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV 10261) |
| 208000000X Pediatrics (Licence: CO 49393) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NV 10261) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-04-06 |