NPI | 1386849990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: MA 242128) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA L-232241) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2019-02-08 |