NPI | 1114503158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: PA MD484287) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML61160626) |
Enumeration Date | 2021-03-21 |
Last Update Date | 2024-05-27 |