| NPI | 1356737373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 310981) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.133074) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2022-09-16 |