| NPI | 1275115404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WA MD.MD.61654746) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD484581) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2025-06-21 |