| NPI | 1801280250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080H0002X Pediatrics, Hospice and Palliative Medicine (Licence: FL ME137586) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL 137586) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2019-09-14 |