| NPI | 1770136756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 345997) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 345997) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2025-05-27 |