NPI | 1164801742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: WA MD61275168) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61275168) |
2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PA MT218079) | |
208000000X Pediatrics (Licence: MN 60741) | |
Enumeration Date | 2015-05-28 |
Last Update Date | 2022-08-26 |