| NPI | 1063668226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL OS12883) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.009851) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2014-08-18 |