| NPI | 1639330640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX Q5671) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35094839) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2021-01-22 |