| NPI | 1891080834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2018012969) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT200445) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2021-07-14 |