| NPI | 1710482039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V8372) |
| Additional Taxonomies | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: TX V8372) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2025-06-20 |