| NPI | 1518649763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: CA 95026449) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 95026449) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |