| NPI | 1104243245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: MO 2018015474) |
| Additional Taxonomies | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: KS 05-40073) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2026-03-09 |