| NPI | 1669058459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: DC MD500002921) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2021023973) |
| 208000000X Pediatrics (Licence: KS 94-10549) | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-07-16 |