| NPI | 1912291527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 52395) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 52395) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 52395) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2025-07-09 |