| NPI | 1609053875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX P3798) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 002219) |
| 208000000X Pediatrics (Licence: TX P3798) | |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2012-09-26 |