| NPI | 1649831975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: MO 2022026470) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2022026470) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2025-08-06 |