| NPI | 1003230814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA A128679) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 128679) |
| 208000000X Pediatrics (Licence: WA MD60575925) | |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2022-07-12 |