| NPI | 1972064095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA 20A23551) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A23551) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2025-07-15 |