| NPI | 1679853626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: TX T7056) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301098425) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: WV 27600) | |
| 208000000X Pediatrics (Licence: MO 2014022161) | |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2024-01-09 |