| NPI | 1093979049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OK 4848) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 2634) |
| 363AM0700X Physician Assistant, Medical (Licence: CO PA.0002634) | |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2022-10-14 |