| NPI | 1336406156 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A106554) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD0000045330) | 
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA A106554) | |
| Enumeration Date | 2012-04-18 | 
| Last Update Date | 2023-09-26 |