| NPI | 1104313279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61172861) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: WA MD61172861) |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2023-08-16 |