| NPI | 1598015406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX P6969) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX P6969) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2022-10-25 |