| NPI | 1891087169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 275204) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 275204) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2025-08-19 |