| NPI | 1609187616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 65517) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.057845) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2016-07-15 |