| NPI | 1255507596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301098173) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 51391) |
| 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: MI 4301098173) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2023-10-12 |