| NPI | 1033607965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2021022622) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-44675) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OK 41302) | |
| 208000000X Pediatrics (Licence: GA 113291) | |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2026-06-08 |