| NPI | 1063770865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: FL ME129035) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD043137) |
| 208000000X Pediatrics (Licence: FL ME129035) | |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2021-03-23 |