| NPI | 1174726731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: NC 2012-01332) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: VA 0101241408) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2012-07-19 |