| NPI | 1053401661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: WA MD00044424) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD00044424) |
| 207K00000X Allergy & Immunology (Licence: WA MD00044424) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2022-11-17 |