| NPI | 1679816813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 63288-21) |
| Additional Taxonomies | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: KY 05259) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2023-04-13 |