| NPI | 1497108575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: NY 300756) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 300756) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2022-09-15 |