| NPI | 1114424298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 311011-01) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 311011-01) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2026-02-10 |