NPI | 1609192111 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL 143137) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.057267) |
208000000X Pediatrics (Licence: WI 57248) | |
208000000X Pediatrics (Licence: NY 278765) | |
Enumeration Date | 2010-04-09 |
Last Update Date | 2024-08-20 |