| NPI | 1801136502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: OR MD202300) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD039882) |
| 208000000X Pediatrics (Licence: CA A110596) | |
| 208000000X Pediatrics (Licence: OR MD202300) | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: MD D77785) | |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2021-01-27 |