| NPI | 1720062433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: NC 200301028) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 200301028) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2018-07-27 |