| NPI | 1568605103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OR MD27487) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA G33623) |
| 208000000X Pediatrics (Licence: SC VL 145) | |
| 2080I0007X Pediatrics, Clinical & Laboratory Immunology (Licence: SC VL 145) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CA G33623) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: OR MD27487) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CA G33623) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: OR MD27487) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: SC VL 145) | |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2009-04-13 |