NPI | 1861712929 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.126689) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD452414) |
Enumeration Date | 2010-06-10 |
Last Update Date | 2019-09-26 |