| NPI | 1700346061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MN 67700) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 67700) |
| 208000000X Pediatrics (Licence: MN 29990) | |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-01-22 |