NPI | 1902292857 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: KY 04331) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125067758) |
Enumeration Date | 2015-04-07 |
Last Update Date | 2022-04-01 |