| NPI | 1780175406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX W4800) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01085738A) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2026-04-21 |