| NPI | 1639335201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 250445) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD442374) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CT 78222) | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2024-06-25 |