| NPI | 1861888257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX T9530) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD0000057287) |
| 208000000X Pediatrics (Licence: IL 036.149203) | |
| 208000000X Pediatrics (Licence: TX T9530) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2022-11-15 |