| NPI | 1164818399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: TX R5372) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10053048) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2026-07-17 |