| NPI | 1871749358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: FL ME114197) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 003441) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2015-07-29 |