| NPI | 1649652355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PR 21033) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 21033) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2024-02-20 |