| 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 |