NPI | 1376105122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: MI 4301506968) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301506968) |
Enumeration Date | 2019-07-02 |
Last Update Date | 2025-07-29 |