| NPI | 1205360831 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NE 31334)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 31334)  | 
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101286510)  | |
| Enumeration Date | 2017-04-20 | 
| Last Update Date | 2025-07-10 |