| NPI | 1013208115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X (Licence: TN 51172) |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: TN 51172) |
| 208000000X Pediatrics (Licence: OH 128424) | |
| 208000000X Pediatrics (Licence: TN MD51172) | |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2022-03-18 |