| NPI | 1124404462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: PR 21389) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 21389) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2025-01-21 |