| NPI | 1376960617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NM MD2020-0201) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 49881) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2020-06-19 |