| NPI | 1790109700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX R7493) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS016836) |
| 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: PA OT015628) | |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2023-04-26 |