| NPI | 1689835118 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: PA MT198719)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125051092)  | 
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MT198719)  | |
| Enumeration Date | 2008-06-18 | 
| Last Update Date | 2014-06-18 |