| NPI | 1801139357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: UT 9753117-1204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 9753117-1204) |
| 208D00000X General Practice (Licence: NE 1242) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2021-12-21 |