| NPI | 1558352773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: LA 321212) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 215511) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2019-12-11 |