| NPI | 1093941593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CO 51162) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 51162) |
| 207K00000X Allergy & Immunology (Licence: ME MD20146) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2020-11-11 |