| NPI | 1033301247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A102490) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A102490) |
| Enumeration Date | 2007-08-11 |
| Last Update Date | 2025-01-22 |