| NPI | 1265879266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CT 553341) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 553341) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: RI MD18629) | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2022-08-15 |