| NPI | 1770946964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: NY 303171) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 303171) |
| 208000000X Pediatrics (Licence: NJ 25MB09836400) | |
| 208000000X Pediatrics (Licence: DC DO034641) | |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2022-08-09 |