| NPI | 1780677690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NV 9171) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NV 9171) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2025-09-11 |