| NPI | 1164795548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX U8605) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NE 27611) |
| 207KA0200X Allergy & Immunology, Allergy (Licence: NE 27611) | |
| 208000000X Pediatrics (Licence: NE 27611) | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2024-09-25 |