| NPI | 1073141776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 57968) |
| Additional Taxonomies | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: KY 57968) |
| Enumeration Date | 2020-03-29 |
| Last Update Date | 2026-06-01 |