| NPI | 1710299078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.128568) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT197412) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2016-05-09 |