| NPI | 1962492637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 46096) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX Q3791) |
| 208000000X Pediatrics (Licence: ND PT16001) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX Q3791) | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MN 46096) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2023-12-11 |