| NPI | 1982136909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WV 33107) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 283055) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WV 34107) | |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2024-08-29 |