| NPI | 1255680625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: TN 52079) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A120847) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2023-03-28 |