| NPI | 1710485248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 336059) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 336059) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2023-08-09 |