| NPI | 1821309618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME127080) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.057377) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2016-09-09 |