| 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 |