| NPI | 1073196259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: TN 77123) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 8162244) |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2026-06-30 |