| NPI | 1649665951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: WA MD60845001) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML60561425) |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2019-07-09 |