| NPI | 1942414024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080H0002X Pediatrics Hospice and Palliative Medicine (Licence: NY 2418181) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 20A10295) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2013-12-06 |