| NPI | 1912273269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: UT 8831732-8905) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 8831732-1205) |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2023-06-08 |