| NPI | 1659776243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OK 34405) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 35254) |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2022-01-10 |