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 |