| NPI | 1942681705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: GA 93051) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 38421) |
| 208000000X Pediatrics (Licence: GA 93051) | |
| 208000000X Pediatrics (Licence: SC 38421) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2022-09-01 |