| NPI | 1376960567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD461092) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MT214143) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2023-06-08 |