| NPI | 1104016823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: NY 267706) |
| Additional Taxonomies | 2080P0208X Pediatrics Pediatric Infectious Diseases (Licence: PA MD428132) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2015-08-04 |