| NPI | 1861698342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0102206067) |
| Additional Taxonomies | 2080I0007X Pediatrics, Clinical & Laboratory Immunology (Licence: WV 2271) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-10-29 |