| NPI | 1831162387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 22162) |
| Additional Taxonomies | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: SC 22162) |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: SC 221628) | |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2025-03-06 |