| NPI | 1699020651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX R8308) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-42543) |
| 208000000X Pediatrics (Licence: MI 4301100086) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: GA 95327) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2024-03-07 |