| NPI | 1801056700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CA A049044) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A049044) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A049044) | |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2020-12-09 |