| NPI | 1033555628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CO 60324) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 60324) |
| 208000000X Pediatrics (Licence: IL 125063059) | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2020-11-12 |