| NPI | 1912291527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 52395) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101255767) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2020-12-10 |