| NPI | 1013901768 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35.093154)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.093154)  | 
| Enumeration Date | 2005-09-08 | 
| Last Update Date | 2012-07-02 |