| NPI | 1043285810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: GA 048731) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: GA 048731) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2021-07-14 |