NPI | 1982090064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 295354-01) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 295354-01) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2025-09-19 |