| NPI | 1790079945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301105432) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301105432) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2017-05-08 |