| NPI | 1740475961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CO 46504) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 46504) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2012-12-13 |