| NPI | 1255952545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CO DR.0071229) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 80901) |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2026-08-04 |