| NPI | 1104268531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: WV 29013) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 18908) |
| 208000000X Pediatrics (Licence: WV 29013) | |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2021-11-30 |