| NPI | 1013321256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35137504) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301105313) |
| 208000000X Pediatrics (Licence: OH 35137504) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MI 4301105313) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: OH 35137504) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2020-05-05 |