| NPI | 1790104990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: CA A169288) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 65787-20) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-07-08 |