| NPI | 1780668046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A50721) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC 21632) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: SC 21632) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2011-10-24 |