| NPI | 1710448469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TN 74761) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 91541) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-08-06 |