| NPI | 1679501787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX K4012) |
| Additional Taxonomies | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: TX K4012) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-09-11 |