| NPI | 1255851150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 1020991) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT213701) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-10-12 |