| NPI | 1710116629 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2015036885) | 
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: KS 04-39210) | 
| Enumeration Date | 2009-07-13 | 
| Last Update Date | 2016-08-12 |