| NPI | 1316367105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0102206836) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NE 1423) |
| 208000000X Pediatrics (Licence: VA 0102206836) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2023-05-04 |