| NPI | 1023341583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA A109582) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: NY 254847) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2025-01-03 |