| NPI | 1174714984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 097341) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 201385) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2014-08-18 |