| NPI | 1174596860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: MO 109792) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 109792) |
| Enumeration Date | 2006-02-11 |
| Last Update Date | 2014-12-29 |