| NPI | 1306307012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: MN 79609) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 79609) |
| 208000000X Pediatrics (Licence: WA ML.60950745) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2025-06-02 |