| NPI | 1629319512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 36720) |
| Additional Taxonomies | 2080H0002X Pediatrics Hospice and Palliative Medicine (Licence: SC 36720) |
| Enumeration Date | 2013-03-03 |
| Last Update Date | 2023-05-04 |