| NPI | 1457301087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN 44472) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN 44472) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.156290) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D57584) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2026-07-10 |