| NPI | 1790745032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: NY 223528) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 223528) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2023-09-12 |