| NPI | 1699959163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: ME MD22632) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA 60019802) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208000000X Pediatrics (Licence: MA 247365) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2019-01-09 |