| NPI | 1790149805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA 20A20193) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2019-00544) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2022-09-25 |