| NPI | 1760624324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101262223) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101262223) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 2024-03549) | |
| Enumeration Date | 2009-03-29 |
| Last Update Date | 2025-01-07 |