| NPI | 1205213469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: KS 04-46564) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2022039039) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2026-02-24 |