| NPI | 1508242215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 309891) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A128429) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CO DR.0059739) | |
| 363AM0700X Physician Assistant, Medical (Licence: NY 309891) | |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2023-07-07 |