| NPI | 1124466164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: SC 82552) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC MD82552) |
| 208000000X Pediatrics (Licence: MO 2016011684) | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2021-05-10 |