| NPI | 1972166551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX T5620) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: TX T5620) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-10-02 |