| NPI | 1134531304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 2021-00293) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT206675) |
| 208000000X Pediatrics (Licence: PA MD460807) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101269854) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2022-09-28 |