| NPI | 1174028732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: FL ME149545) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME149545) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-09-11 |