| NPI | 1164682894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: MI 4301091929) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301091929) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2018-12-19 |