| NPI | 1033563572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: MN 64781) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 64781) |
| 208000000X Pediatrics (Licence: MN 64781) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2025-06-17 |