| NPI | 1689057101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WV 31143) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 295705) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: GA 82944) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2022-06-27 |