| NPI | 1689088981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA OS021303) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX S5503) |
| 208000000X Pediatrics (Licence: NC 2017-00553) | |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2021-07-28 |