| NPI | 1639312432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WA MD60548126) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60548126) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2015-07-09 |