| NPI | 1861987950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA OS023808) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS023808) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL UO6080) | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2024-08-19 |