NPI | 1578855342 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: MA 258312) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 258312) |
Enumeration Date | 2011-05-11 |
Last Update Date | 2018-12-12 |