| NPI | 1891175816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 292781) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125066761) |
| 2080H0002X (Licence: PA MT223220) | |
| 2080H0002X (Licence: MA 292781) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MT223220) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2022-08-01 |