| NPI | 1265485692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: MD D31002) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D31002) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-11-19 |