| NPI | 1922505486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: OK 45905) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 45905) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OK 45905) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2025-08-07 |