| NPI | 1093767782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA G53986) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CA G53986) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: WA MD60286895) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2025-09-16 |