| NPI | 1003267634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2026027959) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.069376) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MS 30089) | |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2026-07-09 |