| NPI | 1801064720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 046160) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: CT 046160) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2011-11-03 |