| NPI | 1104828771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MO R8C97) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO R8C97) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2018-01-24 |