NPI | 1619237609 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: UT 11690486-1205) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301100741) |
Enumeration Date | 2012-05-23 |
Last Update Date | 2021-12-17 |