| 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 | 2020-12-22 |