| NPI | 1164928149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.154168) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD477755) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2025-08-28 |