| NPI | 1881115392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2023-1287) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: CA A157909) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2023-10-13 |