| NPI | 1043487770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY P12802) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 81935-PG Permit) |
| 208000000X Pediatrics (Licence: AZ 43194) | |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2019-11-08 |