| NPI | 1629480470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME151047) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT207151) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NJ 25MA11138100) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2024-06-26 |