| NPI | 1568519213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 143554) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 143554) |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: NY 143554) | |
| 208000000X Pediatrics (Licence: CT 049030) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CT 049030) | |
| 2080P0216X Pediatrics, Pediatric Rheumatology (Licence: CT 049030) | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2014-12-03 |