| NPI | 1285015453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: CT 74337) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD463589) |
| Enumeration Date | 2015-06-14 |
| Last Update Date | 2023-11-20 |