| NPI | 1114184967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: VA 0101268764) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: RI MD14740) |
| 208000000X Pediatrics (Licence: VA 0101268764) | |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: RI MD14740) | |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2023-03-07 |