| NPI | 1770902892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX S9943) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 30764) |
| 208000000X Pediatrics (Licence: MO 2014019463) | |
| 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: TX S9943) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2021-06-09 |