NPI | 1598064123 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 292977) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 292977) |
Enumeration Date | 2011-03-22 |
Last Update Date | 2020-08-20 |