| NPI | 1205276250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: NV 19139) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: AZ 73991) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2025-05-28 |