| NPI | 1891100517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: MA 270662) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 270662) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2018-01-04 |