| NPI | 1962922641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0208X Pediatrics, Pediatric Infectious Diseases (Licence: RI LP04884) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 1012964) |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2023-06-21 |