NPI | 1720408578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX R2615) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX R2615) |
Enumeration Date | 2014-04-21 |
Last Update Date | 2022-01-24 |