| NPI | 1609197102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 66873) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 66873) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2020-02-20 |