| NPI | 1669639563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MA 239191) |
| Additional Taxonomies | 282NC2000X General Acute Care Hospital, Children (Licence: MA 228516) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2014-06-26 |