| NPI | 1104370030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 68700) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: RI LP03805) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2021-07-14 |