| NPI | 1912524604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL 163530) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME163530) |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2025-05-19 |