| NPI | 1699030379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 73816) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2012018914) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2020-08-07 |