| NPI | 1124589874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2026024723) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.144435) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2026-06-26 |