| NPI | 1659548972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: OK 30811) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-097155) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2026-08-06 |