| NPI | 1124221981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101253851) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116019233) |
| 174400000X Specialist (Licence: TX N6237) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2016-11-30 |