| NPI | 1063432656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MD419341) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD419341) |
| 282N00000X General Acute Care Hospital (Licence: NY 242102) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-02-13 |