| NPI | 1578978706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 323700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 3237000) |
| 208000000X Pediatrics (Licence: LA Pending) | |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2022-09-15 |