| NPI | 1124791629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN 6323) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CO DR.0077229) |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2026-06-24 |