| NPI | 1053758201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MA 273244) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 305125) |
| 208000000X Pediatrics (Licence: MA 273244) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 305125) | |
| Enumeration Date | 2013-05-29 |
| Last Update Date | 2023-07-03 |