| NPI | 1649598509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: KY 49523) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 49523) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2021-08-10 |