| NPI | 1770716466 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: PR 18365)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 18365)  | 
| 208000000X Pediatrics (Licence: MO 2013018164)  | |
| Enumeration Date | 2009-08-27 | 
| Last Update Date | 2023-07-11 |