| NPI | 1457610404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: TN 61719) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX Q3224) |
| 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: WA 60850593) | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2020-08-12 |