| NPI | 1174643308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ACN1250) |
| Additional Taxonomies | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: PR 8076) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2023-07-10 |