| NPI | 1073718458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX Q0807) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS015180) |
| 208000000X Pediatrics (Licence: CT 048947) | |
| 208000000X Pediatrics (Licence: TX Q0807) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2022-12-08 |