| NPI | 1982966388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD454975) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD454975) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2024-05-21 |