NPI | 1124524855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MT222204) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-04-02 |
Last Update Date | 2021-06-18 |