| NPI | 1619076627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G55256) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA G55256) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-10-30 |