| NPI | 1164880753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: NJ 25MA11868400) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.143180) |
| 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: OH 35.143180) | |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2023-10-23 |