| NPI | 1902105430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA MD.206031) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA MD.206031) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2022-07-21 |