NPI | 1760672034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA OS015548) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OK 4789) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IL 036-113727) | |
Enumeration Date | 2007-08-01 |
Last Update Date | 2016-03-17 |