| NPI | 1598405714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OK 45399) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL88189) |
| 208000000X Pediatrics (Licence: OK 45399) | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2025-05-15 |