| NPI | 1164683678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CA A99671) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A99671) |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2021-12-06 |