| NPI | 1083930960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 275237) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 275237) |
| 208000000X Pediatrics (Licence: NY 275237) | |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2022-07-21 |