| NPI | 1104346980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: AR E15667) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA R-11030) |
| 208000000X Pediatrics (Licence: AR E-15667) | |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2025-12-11 |