| NPI | 1962995142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA 20A19748) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A19748) |
| 207R00000X Internal Medicine (Licence: CA 20A19748) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2025-07-14 |