| NPI | 1083690390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX K4211) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: TX K4211) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2023-06-07 |