| NPI | 1699336982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 82286) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 8640) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2026-08-25 |