NPI | 1104116755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AZ 54966) |
Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL ME126330) |
Enumeration Date | 2011-04-17 |
Last Update Date | 2021-09-13 |