| NPI | 1619164027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX N6981) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10028143) |
| Enumeration Date | 2007-09-29 |
| Last Update Date | 2020-12-23 |