| NPI | 1154940161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MN 77173) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A187953) |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2024-07-09 |