| NPI | 1689776809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA MD 60012888) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VT 042-0011167) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2011-03-04 |