| NPI | 1053304006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: MO 2022038337) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD28634) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2022-11-11 |