| NPI | 1154858579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 64117) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 28656) |
| 208000000X Pediatrics (Licence: MN 64117) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: MN 64117) | |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2024-01-08 |