| 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 |