| NPI | 1922080753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 42541) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: MA 42541) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2007-07-08 |