| NPI | 1104081124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MI 4301093797) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301093797) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2019-11-19 |