| NPI | 1811987100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MD H0053231) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: KS 05-30322) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NM A-1612-11) | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2014-01-10 |