| NPI | 1164872396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: MA 278309) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 278309) |
| Enumeration Date | 2016-06-19 |
| Last Update Date | 2023-08-18 |