| NPI | 1588984629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL OS13900) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT013785) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2017-07-05 |