| NPI | 1619248614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 264025) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 264025) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-07-02 |