| NPI | 1043672280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA MD60958502) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60657405) |
| Enumeration Date | 2016-03-27 |
| Last Update Date | 2025-08-11 |