| NPI | 1912153040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 52110) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 52110) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 68164) | |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2020-08-21 |