| NPI | 1861698128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: SC 37377) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 37377) |
| 208000000X Pediatrics (Licence: WV 23402) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2019-05-20 |