| NPI | 1689931560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: MI 4301107328) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301107328) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2020-07-22 |