| NPI | 1972899557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 67449) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125059365) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MT205634) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2022-07-21 |