| NPI | 1003253477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PA MD470465) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2016-01208) |
| Enumeration Date | 2013-05-26 |
| Last Update Date | 2020-08-03 |