| NPI | 1609849884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OR MD169576) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD070842L) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2015-06-09 |