| NPI | 1750586202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX N5762) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N5762) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2013-07-08 |