| NPI | 1558423533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 182344-1) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 182344-1) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |