| NPI | 1922458652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX U1637) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301109861) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2023-02-15 |