| NPI | 1144302290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NY 229803) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MO 2013006648) |
| 207K00000X Allergy & Immunology (Licence: KS 04-36245) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2013-04-04 |