| NPI | 1174879738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA A136493) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NM MD2013-0581) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 208000000X Pediatrics (Licence: ME MD19841) | |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2020-04-13 |