| NPI | 1558588939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A110386) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A110386) |
| 208000000X Pediatrics (Licence: RI LP00183) | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2024-04-26 |