| NPI | 1790228559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2022020008) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ZZ 104137) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2023-01-05 |