| NPI | 1174700504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: MI 5315028414) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: MI 5315028414) |
| 208000000X Pediatrics (Licence: MI 5315028414) | |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |