| NPI | 1356758650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: WA MD.MD.61151558) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A139685) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: CA A139685) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2021-04-18 |