| NPI | 1649505538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA A121888) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 254797) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 254797) | |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2024-09-30 |