NPI | 1629480470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME151047) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT207151) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA11138100) | |
Enumeration Date | 2014-05-28 |
Last Update Date | 2024-06-26 |