| NPI | 1255586202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TN 68332) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.094610) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OH 35.094610) | |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2023-11-01 |