| NPI | 1417206509 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WV 28652)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA mt202639)  | 
| Enumeration Date | 2012-09-05 | 
| Last Update Date | 2022-04-13 |