| NPI | 1952758278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: NY 297791) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI LP03659) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2022-11-04 |