| NPI | 1265782817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MI 4301106853) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL TRN17694) |
| 208000000X Pediatrics (Licence: MI 4301106853) | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2025-05-21 |