| NPI | 1700857075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: WA MD 60391053) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 22752) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2019-11-21 |