| NPI | 1801121108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 7996415-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R70650) |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: UT 7996415-1205) | |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2015-12-16 |