| NPI | 1922561331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: GA 95908) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX W4645) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX W4645) | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2026-07-01 |