NPI | 1659877199 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2024036201) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IA DO-05775) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: KS 05-50038) | |
Enumeration Date | 2018-04-03 |
Last Update Date | 2024-09-29 |