| NPI | 1053304006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: OR MD28634) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD28634) |
| 2080H0002X (Licence: MO 2022038337) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OR MD28634) | |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2024-10-17 |