| NPI | 1790162774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 2018-00867) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 209892) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2021-11-10 |