| NPI | 1689875064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: WA MD60364490) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60364490) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2014-01-27 |