| NPI | 1891057915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NC 2015-01474) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2015-01474) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2025-08-20 |