| NPI | 1750575734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA C155371) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C155371) |
| 208000000X Pediatrics (Licence: MI 4301087837) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MI 4301087837) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2022-11-02 |