| NPI | 1124401674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL OS19147) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS15207) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2023-02-07 |