| NPI | 1124139829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 236320-1) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 236320-1) |
| 207K00000X Allergy & Immunology (Licence: NY 236320) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-03-07 |