| NPI | 1366067910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: MI 4301515078) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL84395) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2025-08-26 |