| NPI | 1922585934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PR 22518) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 22518) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PR 14764) | |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2025-02-19 |