NPI | 1366581613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: CA C150858) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN7719) |
2080H0002X Pediatrics Hospice and Palliative Medicine (Licence: NY 003703) | |
208VP0000X Pain Medicine Pain Medicine (Licence: NY 003703) | |
Enumeration Date | 2007-02-05 |
Last Update Date | 2020-11-06 |