NPI | 1770840159 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 115127) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 115127) |
Enumeration Date | 2012-04-23 |
Last Update Date | 2023-11-10 |