| NPI | 1831458793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 57331) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 57331) |
| 208000000X Pediatrics (Licence: MN 57331) | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: MN 57331) | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2018-09-24 |