| NPI | 1003074469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A117476) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 244769) |
| 208000000X Pediatrics (Licence: CA A117476) | |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2011-10-04 |