| NPI | 1962728113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 66407) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301109010) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301109010) | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2020-05-19 |