| NPI | 1699338251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: KY 61149) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 61149) |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2026-08-20 |