| NPI | 1063916039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: UT 12777659-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60866322) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2022-04-07 |