| NPI | 1174739619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: FL ME168036) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2080P0214X Pediatrics Pediatric Pulmonology (Licence: TX Q4129) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2024-08-01 |