| NPI | 1831518299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MT214935) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD464088) |
| 208000000X Pediatrics (Licence: DC MD045023) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2018-06-14 |