| NPI | 1114963188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: SC TL30868) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: TN 38389) |
| 207K00000X Allergy & Immunology (Licence: MS 19404) | |
| 208000000X Pediatrics (Licence: SC 30868) | |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: SC 30868) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-10-15 |