| NPI | 1083901102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics Hospice and Palliative Medicine (Licence: FL ME128508) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301098544) |
| Enumeration Date | 2011-07-10 |
| Last Update Date | 2019-06-20 |